Case Management Coordinator

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.

As a Case Management Coordinator, you will facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education for members through the use of care management tools and resources.

Evaluation of Members: You will conduct comprehensive evaluations of referred members' needs and eligibility, recommend approaches to case resolution, identify high-risk factors and service needs, and coordinate care plan activities.

Enhancement of Medical Appropriateness and Quality of Care: Using a holistic approach, you will consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers to meeting goals and objectives. You will also identify and escalate quality of care issues, utilize negotiation skills to secure appropriate options and services, and provide coaching and support to empower members to make independent medical and healthy lifestyle choices.

Monitoring, Evaluation, and Documentation of Care: You will utilize case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Required Qualifications:

• Minimum 2 years of experience in behavioral health, social services, or human services field
• Minimum 2 years of case management experience
• Must reside in Henderson, Hancock, Warren, or Knox County IL
• Must possess reliable transportation and be willing and able to travel up to 50-75% of the time to meet members face-to-face
• Active Driver's License, preferably out of IL

Preferred Qualifications:

• Discharge planning experience
• Managed care experience

Education: Bachelor's Degree or non-licensed master-level clinician required, with either degree being in behavioral health or human services required (psychology, social work, marriage and family therapy, counseling)

Anticipated Weekly Hours: 40

Time Type: Full-time

Pay Range: $21.10 - $44.99

Benefits: This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.